On the following day, the patient was sent to Interventional Radiology for percutaneous cholecystostomy
is an acceptable alternative especially in high-risk patients (19).
after 6 weeks of conservative management and very a small number of them were managed with cholecystostomy
Treatment was conducted in two stages, firstly, percutaneous cholecystostomy
under ultrasound guidance and sustained negative pressure suction until delivery, and secondly, selective choledochal cyst excision when the patients recovered from delivery.
In order to reduce conversion rates in acute cholecystitis now laparoscopic surgeons are drifting towards partial laparoscopic cholecystectomy19 or laparoscopic tube cholecystostomy
followed by an interval laparoscopic cholecystectomy20 instead of conversion to OC.
We donothave a poor ASA grade in this series but do recommend that for those who cannot tolerate general anaesthesia then an alternative option must be considered as conservative management in mild cholecystitis and percutaneous cholecystostomy
A 77-year-old man with multiple myeloma and recent cholecystostomy
tube placement presented to the emergency department with pneumonia.
then became the favored operation for gallstones and its complications.
versus gallbladder aspiration for acute cholecystitis: A prospective randomized controlled trial.
Because of his poor medical condition he was not felt to be stable enough to undergo cholecystectomy, so a CT guided cholecystostomy
tube was initially placed to treat his cholecystitis.
A repeat cholecysto-cholangiogram could not be repeated due to technical reasons; hence, a tube cholecystostomy
was performed to drain the obstructed biliary system and to have an access for postoperative cholecysto-cholangiogram.
In this scenario, a wedge liver biopsy should be performed as an aid to diagnosis, the cholangiogram catheter removed, the cholecystostomy
closed, and the operation concluded.